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CH10163D VALLEY FAMILY HEALTH CARE INC (Active)
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Main Details
Name
VALLEY FAMILY HEALTH CARE INC
Subdivision Name
Nyssa Dental Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004174
340B ID
CH10163D
Grant Number
H80CS00556
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
7/20/2005
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Valley Family Health Care
Ben Murray, COO
(208) 642-7364
Primary Contact
Valley Family Health Care
Ken Frahm, Pharmacy Program Service Manager
(208) 642-9376
Addresses
Street Address
17 N 6th St
Nyssa, OR 97913-3477
Billing Address
VALLEY FAMILY HEALTH CARE, INC.
1441 NE 10TH AVENUE
PAYETTE, ID 83661
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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7/20/05 - ADDR CHANGE (WAS 1441 NE TENTH AVE, PAYETTE, ID 83661), NEW SHIP TO/BILL TO, CONTACT
08/23/2005
April 2025
April 2025
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